At the oral hearing of his appeal the appellant outlined his son’s history, his assessments and the recommendations. He stated that his son’s daily care was well above a child of his age and above that of his siblings. The appellant outlined that his son’s condition had deteriorated and that the child got frustrated trying to speak, he needed help feeding, dressing, washing, toileting, disliked certain textures and activities, had particular items that he must have, was a fussy eater, needed constant re-assurance and disliked when his routine was changed. The child did not cope well with change. Change in routines resulted in the child becoming agitated and could lead to tantrums.